Integrated Maternal and Newborn Care Basic Skills Course ...
Integrated Maternal and Newborn Care Basic Skills Course ...
Integrated Maternal and Newborn Care Basic Skills Course ...
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Reference Manual<br />
Recommended cleaning procedures are as follows:<br />
• Cleaning procedures will depend upon the potential risk of contamination. Low-risk areas<br />
include waiting rooms <strong>and</strong> administrative areas. High-risk areas are toilets, latrines, <strong>and</strong><br />
sluice rooms, <strong>and</strong> client-care areas such as operating theaters, procedure rooms,<br />
laboratories, areas where instruments are cleaned <strong>and</strong> processed.<br />
• Develop <strong>and</strong> post cleaning schedules where all housekeeping staff can see them. Make<br />
sure that cleaning schedules are closely maintained.<br />
• Clean immediately: after spills, procedures, <strong>and</strong> deliveries.<br />
• Clean daily (at each shift if work load is excessive): delivery, operation, <strong>and</strong><br />
examination/procedure rooms; floors, furniture, toilets/latrines, waste containers; <strong>and</strong><br />
wipe incubators <strong>and</strong> radiant warmers with disinfectant solutions.<br />
• Always wear gloves (preferably thick utility gloves) when cleaning.<br />
• Use a damp or wet mop or cloth for walls, floors, <strong>and</strong> surfaces, instead of dry-dusting or<br />
sweeping, to reduce the spread of dust <strong>and</strong> micro-organisms.<br />
• Scrubbing is the most effective way to remove dirt <strong>and</strong> micro-organisms. Scrubbing<br />
should be a part of every cleaning procedure.<br />
• Wash surfaces from top to bottom so that debris falls to the floor <strong>and</strong> is cleaned up last.<br />
Clean the highest fixtures first <strong>and</strong> work downward; for example, clean ceiling lamps,<br />
then shelves, then tables, <strong>and</strong> then the floor.<br />
• Change cleaning solutions whenever they appear to be dirty. A solution is less likely to<br />
kill infectious micro-organisms if it is heavily soiled.<br />
• Clean up spills of potentially infectious fluids immediately. When cleaning up spills:<br />
o Always wear gloves.<br />
o If the spill is small, wipe it with a cloth that has been saturated with a disinfectant<br />
(0.5% chlorine) solution.<br />
o If the spill is large, cover (flood) the area with a disinfectant (0.5% chlorine) solution,<br />
mop up the solution, <strong>and</strong> then clean the area with a disinfectant cleaning solution.<br />
CLEAN DELIVERY CARE<br />
Related to clean delivery practices, some promote the concept of the three "cleans"—clean<br />
h<strong>and</strong>s, clean surface, <strong>and</strong> clean cord care—or the five "cleans": clean h<strong>and</strong>s, clean surface,<br />
clean instrument for cutting the cord, clean ligatures for tying the cord, <strong>and</strong> then keeping the<br />
cord clean <strong>and</strong> dry. There is also the seven cleans: the five cleans plus clean perineum <strong>and</strong><br />
keeping the vagina clean without introducing anything unclean inside it.<br />
The main supplies needed for the “cleans” include:<br />
• A waterproof plastic cover (to provide a clean surface)<br />
• Soap<br />
• An unused razor blade kept in its cover for cutting the cord<br />
• Clean cord ties (both the razor blade <strong>and</strong> the cord ties should preferably be boiled for at<br />
least 10 minutes before use)<br />
• Clean, washed, <strong>and</strong> sun-dried towels kept in a clean container for drying <strong>and</strong> wrapping<br />
the baby<br />
• A clean perineum<br />
• A clean vagina without introducing anything unclean inside<br />
<strong>Integrated</strong> maternal <strong>and</strong> newborn care<br />
<strong>Basic</strong> skills course<br />
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